RT Journal Article SR Electronic T1 Osseous metaplasia in a tubular adenoma of the colon JF Journal of Clinical Pathology JO J Clin Pathol FD BMJ Publishing Group Ltd and Association of Clinical Pathologists SP 220 OP 221 DO 10.1136/jcp.2004.020685 VO 58 IS 2 A1 W I Al-Daraji A1 A Abdellaoui A1 W D Salman YR 2005 UL http://jcp.bmj.com/content/58/2/220.abstract AB An 85 year old woman presented with a one month history of change in her bowel habits in the form of alternating diarrhoea and constipation. She also noted some rectal bleeding. Flexible sigmoidoscopy revealed a 1.5 cm polyp 30 cm from the anus. The polyp was removed during the sigmoidoscopy by electrocautery and sent for histological examination. The polyp was a tubular adenoma with mild dysplasia. The adenoma contained numerous foci of metaplastic bone. These consisted of irregular islands of mineralised osteoid bone rimmed by a layer of scattered osteoblasts. This is the first case of osseous metaplasia in a tubular adenoma of the colon to be reported.